ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY (NPI# 1710363957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710363957 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY |
| Practice Address |
4541 S Dale Mabry Hwy Tampa FL 33611 |
| Mailing Address |
615 Vonderburg Dr Brandon FL 33511-5972 |
| Practice Telephone | 8136842663 |
| Practice Fax Number | 8138773017 |
| Mailing Telephone | 8136842663 |
| Mailing Fax Number | 8136859178 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | DR. STUART GOLDSMITH (M.D.) |
| Authorized Official Telephone | 8136842663 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374193100 | 05 |
| Street Address |
4541 S DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376687822 | Jeffrey D. Watson | Orthopaedic Surgery | 4541 S Dale Mabry Hwy, Tampa, FL 33611-1407 | 2007-02-17 |
| 1356678841 | Ryan Charles Mcmahon | Specialist/Technologist | 4541 S Dale Mabry Hwy, Tampa, FL 33611-1407 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239743 | Orthopedic Assoc of Tampa Bay LLC | Orthopaedic Surgery | 4505 N. Armenia Ave, Suite 102, Tampa, FL 33603-2746 | 2018-09-23 |
| 1417451873 | Tampa Bay Orthopedic Surgery Group | Orthopaedic Surgery | 1100 W Kennedy Blvd, Tampa, FL 33606-1966 | 2018-03-21 |
| 1407212293 | Vincent Michael Tedone | Orthopaedic Surgery | 11303 Carrollwood Dr, Tampa, FL 33618-3703 | 2016-01-08 |
| 1316360456 | David Mayhew | Orthopaedic Surgery | 13739 Chestersall Dr, Tampa, FL 33624-6944 | 2014-01-24 |
| 1285976654 | Sean Michael Lannon | Orthopaedic Surgery | 14547 Bruce B Downs Blvd Ste C, Tampa, FL 33613-2709 | 2013-03-22 |
| 1538420864 | Lutz Heinz Schlicke | Orthopaedic Surgery | 582 Riviera Dr, Tampa, FL 33606 | 2012-06-04 |
| 1417251034 | Steven Knezevich, M.d., P.a. | Orthopaedic Surgery | 3820 Northdale Blvd., Suite 105a, Tampa, FL 33624-1834 | 2010-12-23 |
| 1538322383 | Shaun Michael Felcher | Orthopaedic Surgery | 3250 Zemke Ave # 1078, Tampa, FL 33621-5023 | 2008-07-02 |
| 1376743252 | Gene Jason Hunt | Orthopaedic Surgery | 4450 E Fletcher Ave Ste C, Tampa, FL 33613-4907 | 2007-07-19 |
| 1497887111 | Frank Kenneth Kriz Jr. | Orthopaedic Surgery | 800 W Dr M L King Blvd, Suite 1, Tampa, FL 33603 | 2007-03-09 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.